Provider Demographics
NPI:1649168857
Name:FARNWORTH, OLIVIA CLUFF (CRNA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:CLUFF
Last Name:FARNWORTH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:CLUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 ORO DAM BLVD E STE 12-240
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5934
Mailing Address - Country:US
Mailing Address - Phone:801-960-4435
Mailing Address - Fax:
Practice Address - Street 1:2767 OLIVE HIGHWAY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6185
Practice Address - Country:US
Practice Address - Phone:530-533-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002647367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered